Organization Active NPI

Mark Morishige MD Inc

  • Orthopaedic Surgery Physician
  • Los Altos, CA
National Provider Identifier
1255089363
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARK MORISHIGE MD INC
Practice address
763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400
Phone
(408) 356-0444
Fax
(408) 358-5125
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Morishige, MDNPI 1619197639
Title
Dr
Phone
(408) 356-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400

Mailing address

763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400
Phone (408) 356-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220608002457 CA Part B Supplier - Clinic/Group Practice 1759769433 Receives reassigned benefits from 1 practitioner
Practice locations: Los Altos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1255089363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 ALTOS OAKS DR STE 2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245400",
            "telephone_number": "408-356-0444",
            "fax_number": "408-358-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 ALTOS OAKS DR STE 2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245400",
            "telephone_number": "408-356-0444",
            "fax_number": "408-358-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MORISHIGE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "MORISHIGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "408-356-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.